Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tooele Pdc PLLC

Organization General Practice Dentistry · NPI 1306506167

Tooele Pdc PLLC is a General Practice Dentistry in Tooele, Utah. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

980 N Main St
Tooele, UT 84074-1616
Phone: (435) 248-0825
Fax: (435) 843-5490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1306506167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Warner — Credentialing Manager · (801) 691-1701
Other names Wasatch Orthodontics And Family Dentistry
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing addressPo Box 970353, Orem, UT 84097-0353

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